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  • Title: Successful tricuspid valvectomy in a septic patient with tricuspid valve endocarditis.
    Author: Ali TA, Fatimi SH, Naeem SS, Rawasia WF.
    Journal: J Coll Physicians Surg Pak; 2015 Apr; 25 Suppl 1():S8-9. PubMed ID: 25933473.
    Abstract:
    Endocarditis is characterized by vegetations, which is a mass of platelets, fibrin, micro-colonies of micro-organisms, and inflammatory cells, in the endocardium. Over the past three decades, the incidence of right-sided endocarditis has risen dramatically in Pakistan. We report a 36-year woman with a history of repeated intravenous analgesic injections for low back pain, presenting with high grade fever, sepsis and a white cell count of 44,000 with 90% neutrophils. Echocardiography showed large mobile vegetations on Tricuspid Valve (TV). Tricuspid Valve Endocarditis (TVE) is generally responsive to medical treatment; however, about 25% of TVE patients require surgical intervention. Long-term survival of a patient is possible without a prosthetic TV replacement, particularly if the pulmonary artery pressure is normal.
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